PACIFIC NORTHWEST RENAL SERVICES, L.L.C.


Address: 9105a Ne Hwy. 99, Ste. 102, Vancouver, WA 98665
Phone: 3605761350

PACIFIC NORTHWEST RENAL SERVICES, L.L.C. (NPI# 1154423317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154423317
Entity Type Organization
Organization Name PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Practice Address 9105a Ne Hwy. 99
Ste. 102
Vancouver
WA 98665
Practice Telephone 3605761350
Enumeration Date 2006-09-01
Last Update Date 2017-12-05
Authorized Official Name MARK FAWCETT (SVP / TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA PTAN 502524 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265855696 Pacific Northwest Renal Services, L.L.C. Clinic/Center 3921 Sw 13th Ave, Battle Ground, WA 98604-2807 2014-01-21
1992895494 Pacific Northwest Renal Services, L.L.C. Clinic/Center 345 Se Norton Ln, Mcminnville, OR 97128-8480 2006-10-13
1083716401 Pacific Northwest Renal Services, L.L.C. Clinic/Center 15201 Nw Greenbrier Pkwy, Beaverton, OR 97006-5771 2006-09-05
1073625976 Pacific Northwest Renal Services, L.L.C. Clinic/Center 632 Marine Dr, Astoria, OR 97103-5838 2006-08-31
1164534061 Pacific Northwest Renal Services, L.L.C. Clinic/Center 10601 S Walton Rd, La Grande, OR 97850-8488 2006-08-31
1437261336 Pacific Northwest Renal Services, L.L.C. Clinic/Center 13560 Se 97th Ave, Clackamas, OR 97015-7691 2006-08-31
1528170420 Pacific Northwest Renal Services, L.L.C. Clinic/Center 7780 Sw Mohawk St, Tualatin, OR 97062-9191 2006-08-31
1083726988 Pacific Northwest Renal Services, L.L.C. Clinic/Center 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 2006-08-31
1891807798 Pacific Northwest Renal Services, L.L.C. Clinic/Center 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 2006-08-31
1255443156 Pacific Northwest Renal Services, L.L.C. Clinic/Center 2824 Ne Wasco St, Portland, OR 97232-1772 2006-08-31

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names PACIFIC NORTHWEST RENAL SERVICES, L.L.C. 920 Winter Street, Tax Department, Waltham, MA 02451
Washington State Corporations PACIFIC NORTHWEST RENAL SERVICES, L.L.C. 920 Winter St, Waltham, MA 02451-1521

Office Location

Street Address 9105A NE HWY. 99
STE. 102
City VANCOUVER
State WA
Zip Code 98665

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NPI Name Taxonomy Address Enumeration
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1255811196 Rachael Hickert Counselor 1179 Northeast 95th Street, Vancouver, WA 98665 2018-08-20
1063899011 Edward Michael Borromeo Massage Therapist 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 2015-04-29
1033460811 Gretchen Ann Bell Speech-Language Pathologist 511 Ne Anderson Road, Vancouver, WA 98665 2012-09-20
1831322379 Diana Miriam Copeland Massage Therapist 517 Ne 85th Cir, Vancouver, WA 98665 2009-09-01
1073782116 Roxanne Marie Brown Contractor 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 2008-02-22
1588726657 Emil V. Knysh Contractor 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 2006-12-15
1275611501 Jerry L Reams Contractor 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 2006-11-02
1053409961 Richard C. Sheron Dmd Ps Dentist 1200 Ne 99th Street, Vancouver, WA 98665 2006-10-10
1316048887 Frank Roberts Mossman Optometrist 7600 Hazeldell Ave, Vancouver, WA 98665 2006-09-26
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790897692 Pacific Northwest Renal Services LLC Clinic/Center 312 Se Stone Mill Dr, Suite 150, Vancouver, WA 98684-3545 2006-08-31
1467470369 Total Renal Care Inc Clinic/Center 9120 Ne Vancouver Mall Dr, Vancouver, WA 98662-9401 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811504277 Inland Northwest Renal Care Group, LLC Clinic/Center 2405 West Washinton Ave, Yakima, WA 98903 2020-09-29
1447867247 Inland Northwest Renal Care Group, LLC Clinic/Center 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 2020-09-25
1720690506 Total Renal Care Inc Clinic/Center 16290 Auto Ln, Sumner, WA 98390-2568 2020-08-21
1801404124 Northwest Kidney Centers Clinic/Center 1010 Se Everett Mall Way Ste 104, Everett, WA 98208-2855 2020-07-22
1134768088 Renal Care Group Northwest, Inc. Clinic/Center 19663 Sr 410 E, Bonney Lake, WA 98391-5202 2019-12-24
1932757093 Northwest Kidney Centers Clinic/Center 4401 S Trenton St, Seattle, WA 98118-4923 2019-08-30
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1861981177 Northwest Kidney Centers Clinic/Center 501 S 336th St Ste 110, Federal Way, WA 98003-6745 2018-05-02
1063901379 Northwest Kidney Centers Clinic/Center 6021 12th St E Ste 100, Fife, WA 98424-1399 2018-05-02
1255838694 Franciscan Health System Clinic/Center 19420 State Route 410 E, Bonney Lake, WA 98391-8472 2018-04-11
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Competitor

Search similar providers

City VANCOUVER
Zip Code 98665

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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